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75 Items MS Random Questions With Answers and Rationale

75 Items MS Random Questions With Answers and Rationale

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Published by mervilyn
Godbless. 10% work and 90% prayer. :)
Godbless. 10% work and 90% prayer. :)

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Published by: mervilyn on Aug 17, 2010
Copyright:Attribution Non-commercial


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75 items MS Random Questions with Answers and Rationale
1. The nursing care plan for a toddler diagnosed with Kawasaki Disease (mucocutaneouslymph node syndrome) should be based on the high risk for development of whichproblem?A)Chronic vessel plaque formationB)Pulmonary embolismC)Occlusions at the vessel bifurcations
D)Coronary artery aneurysms
The correct answer is D: Coronary artery aneurysmsKawasaki Disease involves all the small and medium-sized blood vessels. There isprogressive inflammation of the small vessels which progresses to the medium-sizedmuscular arteries, potentially damaging the walls and leading to coronary arteryaneurysms.2. A nurse has just received a medication order which is not legible. Which statementbest reflects assertive communication?A)"I cannot give this medication as it is written. I have no idea of what you mean."
B)"Would you please clarify what you have written so I am sure I am reading itcorrectly?"
C)"I am having difficulty reading your handwriting. It would save me time if you wouldbe more careful."D)"Please print in the future so I do not have to spend extra time attempting to read yourwriting."The correct answer is B: "Would you please clarify what you have written so I am sure Iam reading it correctly?"Assertive communication respects the rights and responsibilities of both parties. Thisstatement is an honest expression of concern for safe practice and a request forclarification without self-depreciation. It reflects the right of the professional to give andreceive information.3. The nurse is discussing negativism with the parents of a 30 month-old child. Howshould the nurse tell the parents to best respond to this behavior?A)Reprimand the child and give a 15 minute "time out"B)Maintain a permissive attitude for this behavior
C)Use patience and a sense of humor to deal with this behavior
D)Assert authority over the child through limit settingThe correct answer is C: Use patience and a sense of humor to deal with this behaviorThe nurse should help the parents see the negativism as a normal growth of autonomy inthe toddler. They can best handle the negative toddler by using patience and humor.4. An ambulatory client reports edema during the day in his feet and an ankle thatdisappears while sleeping at night. What is the most appropriate follow-up question forthe nurse to ask?A)"Have you had a recent heart attack?"
B)"Do you become short of breath during your normal daily activities?"
C)"How many pillows do you use at night to sleep comfortably?"D)"Do you smoke?"The correct answer is B: "Do you become short of breath during your normal dailyactivities?"These are the symptoms of right-sided heart failure, which causes increased pressure inthe systemic venous system. To equalize this pressure, the fluid shifts into the interstitialspaces causing edema. Because of gravity, the lower extremities are first affected in anambulatory patient. This question would elicit information to confirm the nursingdiagnosis of activity intolerance and fluid volume excess both associated with right-sidedheart failure.5. The nurse is planning care for a client during the acute phase of a sickle cell vaso-occlusive crisis. Which of the following actions would be most appropriate?A)Fluid restriction 1000cc per dayB)Ambulate in hallway 4 times a day
C)Administer analgesic therapy as ordered
 D)Encourage increased caloric intakeThe correct answer is C: Administer analgesic therapy as orderedThe main general objectives in the treatment of a sickle cell crisis is bed rest, hydration,electrolyte replacement, analgesics for pain, blood replacement and antibiotics to treatany existing infection.6. While working with an obese adolescent, it is important for the nurse to recognize thatobesity in adolescents is most often associated with what other behavior?A)Sexual promiscuity
B)Poor body image
 C)Dropping out of schoolD)Drug experimentationThe correct answer is B: Poor body imageAs the adolescent gains weight, there is a lessening sense of self esteem and poor bodyimage.7. A nurse and client are talking about the client’s progress toward understanding hisbehavior under stress. This is typical of which phase in the therapeutic relationship?A)Pre-interactionB)Orientation
D)TerminationThe correct answer is C: WorkingDuring the working phase alternative behaviors and techniques are explored. The nurseand the client discuss the meaning behind the behavior.
8. A nurse is eating in the hospital cafeteria when a toddler at a nearby table chokes on apiece of food and appears slightly blue. The appropriate initial action should be toA)Begin mouth to mouth resuscitationB)Give the child water to help in swallowing
C)Perform 5 abdominal thrusts
 D)Call for the emergency response teamThe correct answer is C: Perform 5 abdominal thrustsAt this age, the most effective way to clear the airway of food is to perform abdominalthrusts.9. The emergency room nurse admits a child who experienced a seizure at school. Thefather comments that this is the first occurrence, and denies any family history of epilepsy. What is the best response by the nurse?A)"Do not worry. Epilepsy can be treated with medications."
B)"The seizure may or may not mean your child has epilepsy."
 C)"Since this was the first convulsion, it may not happen again."D)"Long term treatment will prevent future seizures."The correct answer is B: "The seizure may or may not mean your child has epilepsy."There are many possible causes for a childhood seizure. These include fever, centralnervous system conditions, trauma, metabolic alterations and idiopathic (unknown).10. A nurse admits a 3 week-old infant to the special care nursery with a diagnosis of bronchopulmonary dysplasia. As the nurse reviews the birth history, which data would bemost consistent with this diagnosis?A)Gestational age assessment suggested growth retardationB)Meconium was cleared from the airway at deliveryC)Phototherapy was used to treat Rh incompatibility
D)The infant received mechanical ventilation for 2 weeks
The correct answer is D: The infant received mechanical ventilation for 2 weeksBronchopulmonary dysplasia is an iatrogenic disease caused by therapies such as use of positive-pressure ventilation used to treat lung disease.11. Parents of a 6 month-old breast fed baby ask the nurse about increasing the baby'sdiet. Which of the following should be added first?
 B)EggsC)MeatD)JuiceThe correct answer is A: CerealThe guidelines of the American Academy of Pediatrics recommend that one new food beintroduced at a time, beginning with strained cereal.12. A victim of domestic violence states, "If I were better, I would not have been beat."Which feeling best describes what the victim may be experiencing?

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